Whalio Doctors

NPI 1023361789

Candice Y Martin

Practitioner Mental Health Counselor Fayetteville, AR

Practice location

Address
60 W Sunbridge Dr, Fayetteville, AR 72703-1822
Phone
(479) 695-1240
Fax
(479) 750-4843
Mailing address
2400 S 48th St, Springdale, AR 72762-6683

Registered specialties (2)

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X
Case Manager/Care Coordinator
Other Service Providers Taxonomy 171M00000X

Registry record

NPI
1023361789
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Oct 2012
Record last updated
5 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.